NUR 212 / NUR212 PREP QUIZ 1, 2, 3 & 4.
Question 1 See full question
A client with obsessive compulsive disorder reports to the nurse that the routine of
having the the nightlight on was not followed on the night shift. What would be the
nurse's best course of action?
You Selected:
Ask the night nurse about the experience of caring for client the previous night.
Correct response:
Ask the night nurse about the experience of caring for client the previous night.
Explanation:
Question 2 See full question
A client suffers from depression following the accidental death of her daughter. After a
suicide attempt, the client is admitted to the psychiatric unit. During the admission
interview, the client tells the nurse that she no longer wants to die. The nurse should:
You Selected:
inspect the client's personal belongings for potentially dangerous objects.
Correct response:
inspect the client's personal belongings for potentially dangerous objects.
Explanation:
Question 3 See full question
A young woman comes to the mental health clinic for routine medication follow-up. She
has been married for 2 years and reports that she and her husband are ready to start a
family. The client has a diagnosis of bipolar disorder and has been well managed with
divalproex for at least 3 years. What is the most essential counsel for the nurse to give?
You Selected:
Check with your prescriber today as divalproex carries an increased risk for birth
defects."
Correct response:
, Check with your prescriber today as divalproex carries an increased risk for birth
defects."
Explanation:
Question 4 See full question
A client with bipolar disorder is taking lithium carbonate 300 mg t.i.d. His lithium level is
2.7 mEq/L. In assessing the client at his clinic visit, the nurse finds no evidence of
lithium toxicity. The first assessment question the nurse should ask before ordering
another blood test is:
You Selected:
when the client took his last dose of lithium.
Correct response:
when the client took his last dose of lithium.
Explanation:
Question 5 See full question
Which finding indicates that a male client with bipolar disorder, manic phase, is nearing
readiness for discharge?
You Selected:
differentiating realistic self-image from grandiosity
Correct response:
differentiating realistic self-image from grandiosity
Explanation:
Question 6 See full question
The client with bipolar disorder, manic phase, appears at the nurse's station wearing a
transparent shirt, miniskirt, high heels, 10 bracelets, and eight necklaces. Her makeup is
overdone and she is not wearing underwear. The nurse should:
You Selected:
Escort the client to her room and assist with choosing appropriate attire.
Correct response:
Escort the client to her room and assist with choosing appropriate attire.
Explanation:
,Question 7 See full question
A client is in the manic phase of bipolar disorder. To help the client maintain adequate
nutrition, the nurse should plan to:
You Selected:
offer finger foods and sandwiches.
Correct response:
offer finger foods and sandwiches.
Explanation:
Question 8 See full question
A client in the manic phase of bipolar disorder constantly belittles other clients and
demands special favors from the nurses. Which nursing intervention is most appropriate
for this client?
You Selected:
Set limits with consequences for belittling or demanding behavior.
Correct response:
Set limits with consequences for belittling or demanding behavior.
Explanation:
Question 9 See full question
A client is admitted to the local psychiatric facility with bipolar disorder in the manic
phase. The physician decides to start the client on lithium carbonate therapy. One week
after this therapy starts, the nurse notes that the client's serum lithium level is 1 mEq/L.
What should the nurse do?
You Selected:
Continue to administer the medication as ordered.
Correct response:
Continue to administer the medication as ordered.
Explanation:
Question 10 See full question
A client is brought in by police to a mental health clinic for admission for bipolar
disorder. During the initial phase of the client’s treatment, which of the following
, interventions would benefit the client in the manic phase of bipolar disorder? Select all
that apply.
You Selected:
Encourage the client to avoid extraneous environmental stimuli.
Provide the client with frequent, small meals in the form of finger foods.
Communication with the client should be clear and direct.
Correct response:
Encourage the client to avoid extraneous environmental stimuli.
Provide the client with frequent, small meals in the form of finger foods.
Communication with the client should be clear and direct.
Explanation:
Question 11 See full question
A client with bipolar disorder, manic phase, makes a fist and says to the nurse, “Watch
out! Here I come.” She then puts her hand down and sits in a chair. After determining
that the client is not going to harm anyone, how should the nurse intervene?
You Selected:
Take the client to a punching bag for exercise to release excess energy.
Correct response:
Take the client to a punching bag for exercise to release excess energy.
Explanation:
Question 12 See full question
A client with bipolar disorder, manic phase, is yelling at visitors. The client’s face is
flushed and his fists are clenched. Which nursing action should be taken first?
You Selected:
Direct the client to his room for a time-out.
Correct response:
Direct the client to his room for a time-out.
Explanation:
Question 13 See full question
Question 1 See full question
A client with obsessive compulsive disorder reports to the nurse that the routine of
having the the nightlight on was not followed on the night shift. What would be the
nurse's best course of action?
You Selected:
Ask the night nurse about the experience of caring for client the previous night.
Correct response:
Ask the night nurse about the experience of caring for client the previous night.
Explanation:
Question 2 See full question
A client suffers from depression following the accidental death of her daughter. After a
suicide attempt, the client is admitted to the psychiatric unit. During the admission
interview, the client tells the nurse that she no longer wants to die. The nurse should:
You Selected:
inspect the client's personal belongings for potentially dangerous objects.
Correct response:
inspect the client's personal belongings for potentially dangerous objects.
Explanation:
Question 3 See full question
A young woman comes to the mental health clinic for routine medication follow-up. She
has been married for 2 years and reports that she and her husband are ready to start a
family. The client has a diagnosis of bipolar disorder and has been well managed with
divalproex for at least 3 years. What is the most essential counsel for the nurse to give?
You Selected:
Check with your prescriber today as divalproex carries an increased risk for birth
defects."
Correct response:
, Check with your prescriber today as divalproex carries an increased risk for birth
defects."
Explanation:
Question 4 See full question
A client with bipolar disorder is taking lithium carbonate 300 mg t.i.d. His lithium level is
2.7 mEq/L. In assessing the client at his clinic visit, the nurse finds no evidence of
lithium toxicity. The first assessment question the nurse should ask before ordering
another blood test is:
You Selected:
when the client took his last dose of lithium.
Correct response:
when the client took his last dose of lithium.
Explanation:
Question 5 See full question
Which finding indicates that a male client with bipolar disorder, manic phase, is nearing
readiness for discharge?
You Selected:
differentiating realistic self-image from grandiosity
Correct response:
differentiating realistic self-image from grandiosity
Explanation:
Question 6 See full question
The client with bipolar disorder, manic phase, appears at the nurse's station wearing a
transparent shirt, miniskirt, high heels, 10 bracelets, and eight necklaces. Her makeup is
overdone and she is not wearing underwear. The nurse should:
You Selected:
Escort the client to her room and assist with choosing appropriate attire.
Correct response:
Escort the client to her room and assist with choosing appropriate attire.
Explanation:
,Question 7 See full question
A client is in the manic phase of bipolar disorder. To help the client maintain adequate
nutrition, the nurse should plan to:
You Selected:
offer finger foods and sandwiches.
Correct response:
offer finger foods and sandwiches.
Explanation:
Question 8 See full question
A client in the manic phase of bipolar disorder constantly belittles other clients and
demands special favors from the nurses. Which nursing intervention is most appropriate
for this client?
You Selected:
Set limits with consequences for belittling or demanding behavior.
Correct response:
Set limits with consequences for belittling or demanding behavior.
Explanation:
Question 9 See full question
A client is admitted to the local psychiatric facility with bipolar disorder in the manic
phase. The physician decides to start the client on lithium carbonate therapy. One week
after this therapy starts, the nurse notes that the client's serum lithium level is 1 mEq/L.
What should the nurse do?
You Selected:
Continue to administer the medication as ordered.
Correct response:
Continue to administer the medication as ordered.
Explanation:
Question 10 See full question
A client is brought in by police to a mental health clinic for admission for bipolar
disorder. During the initial phase of the client’s treatment, which of the following
, interventions would benefit the client in the manic phase of bipolar disorder? Select all
that apply.
You Selected:
Encourage the client to avoid extraneous environmental stimuli.
Provide the client with frequent, small meals in the form of finger foods.
Communication with the client should be clear and direct.
Correct response:
Encourage the client to avoid extraneous environmental stimuli.
Provide the client with frequent, small meals in the form of finger foods.
Communication with the client should be clear and direct.
Explanation:
Question 11 See full question
A client with bipolar disorder, manic phase, makes a fist and says to the nurse, “Watch
out! Here I come.” She then puts her hand down and sits in a chair. After determining
that the client is not going to harm anyone, how should the nurse intervene?
You Selected:
Take the client to a punching bag for exercise to release excess energy.
Correct response:
Take the client to a punching bag for exercise to release excess energy.
Explanation:
Question 12 See full question
A client with bipolar disorder, manic phase, is yelling at visitors. The client’s face is
flushed and his fists are clenched. Which nursing action should be taken first?
You Selected:
Direct the client to his room for a time-out.
Correct response:
Direct the client to his room for a time-out.
Explanation:
Question 13 See full question
